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Temporary eyelid drooping and double vision when tired

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I have had some alarming symptoms of my eyes and muscles recently. In April 2013 I noticed that when I am tired at the end of the day I would get double vision and drooping of my eyelids. Eyelid drooping was not permanent and when I closed my eyes for a few seconds and opened them again, it would go away. The double vision happened when I was looking at something far away. This scenario happened on a few occasions but was not an every day thing. I noticed it happening mainly around the time of my menstrual cycle. Now, August 2013, I am noticing less double vision but more eyelid drooping when tired. I will be looking at something and after some time my right eyelid starts to just droop. If I close my eyes or look down it seems to get better. My right eye feels a little heavy compared to my left eye, too. What could this be? Everything I see online seems to point to Brain tumor, aneurism, Myasthenia Gravis, or MS. Any insight would be appreciated. I will also add that I am a 34 year old female with no health problems.

Category: Neurologist, Medical

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Category: Pediatric Neurologist
 18 Doctors Online


Thank you for your query at DoctorSpring.

Based on your symptoms, the most likely diagnosis would be ocular myasthenia gravis. In this condition, drooping of eyelid, often more on one side, along with double vision, are the most common symptoms. Symptoms are mostly present in the evenings and are better in the mornings.

As the disease progresses, other symptoms such as difficulty in chewing, swallowing and speaking may occur.

You should consult a neurologist for evaluation. An EMG and repetitive nerve stimulation study would help in confirming the diagnosis.

I hope it helps. Please get back if you have any follow up queries.

Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist

Patient replied :

Thank you for the information. I have an appointment coming up with my general practitioner and will ask for referral to neurologist. My question is, if it does turn out to be myasthenia, what type of quality of life can I expect? My husband and I are planing for more children... is this now out of the question? Thank you.

Dr. Sudhir Kumar
Category: Pediatric Neurologist
Senior Residency, Fellowship: DM, Neurology, CMC, Vellore, 2001
Junior Residency: MD, Internal Medicine, CMC, Vellore, 1998
Medical School: MBBS, Christian Medical College, Vellore, 1995
Dr. Sudhir Kumar and 4 other Medical Specialists are ready to help you

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